Cycle 1
Health 2025-09-18 · Fire 2024-08-08
2 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
York, PA
Misericordia Nursing & Rehabilitation Center
5-star overall rating with 5-star inspections with 2 recent health deficiencies
998 South Russell Street, York, PA
(717) 755-1964
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
50
Certified beds
Average residents
46
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1996-12-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.72
Registered nurse staffing · state 0.78 · national 0.68
LPN hours / resident day
1.10
Licensed practical nurse staffing · state 0.91 · national 0.87
Aide hours / resident day
2.68
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
4.50
All reported nurse hours · state 3.89 · national 3.89
Licensed hours
1.82
RN + LPN hours · state 1.69 · national 1.54
Weekend hours
4.14
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.67
Weekend registered nurse coverage · state 0.55 · national 0.47
Physical therapist
0.11
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.74
CMS adjusted RN staffing hours
Adjusted total hours
4.62
CMS adjusted total nurse staffing hours
Case-mix index
1.33
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
1,695
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
54.72
Composite VBP score used to determine payment impact.
Payment multiplier
1.0096
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.47
Baseline 18.35% · Performance 19.36% · Measure score 4.47 · Achievement 4.47 · Improvement 0
Healthcare-associated infections
8.84
Baseline 6.21% · Performance 5.19% · Measure score 8.84 · Achievement 8.84 · Improvement 7.87
Total nurse turnover
3.54
Baseline 28.57% · Performance 49.21% · Measure score 3.54 · Achievement 3.54 · Improvement 0
Adjusted total nurse staffing
5.04
Baseline 4.52 hours · Performance 4.51 hours · Measure score 5.04 · Achievement 5.04 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.48% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 155 · Observed rate 8.39% · Lower 95% interval 7.49% |
| Discharge to community | 79.62% |
50.57%
29.1 pts better
|
Better than the National Rate · Eligible stays 146 · Observed rate 75.34% · Lower 95% interval 73.08% |
| Medicare spending per beneficiary | 0.71 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 92.71% |
95.27%
2.6 pts worse
|
Numerator 89 · Denominator 96 |
| Falls with major injury | 1.04% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 96 |
| Discharge self-care score | 65.82% |
53.69%
12.1 pts better
|
Numerator 52 · Denominator 79 |
| Discharge mobility score | 81.01% |
50.94%
30.1 pts better
|
Numerator 64 · Denominator 79 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 96 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.19% |
7.12%
1.9 pts better
|
No Different than the National Rate · Eligible stays 86 · Observed rate 0% · Lower 95% interval 2.57% |
| Staff COVID-19 vaccination coverage | 16.16% |
8.2%
8 pts better
|
Numerator 16 · Denominator 99 |
| Staff flu vaccination coverage | 35.77% |
42%
6.2 pts worse
|
Numerator 49 · Denominator 137 |
| Discharge function score | 78.48% |
56.45%
22 pts better
|
Numerator 62 · Denominator 79 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 92.86% |
96.28%
3.4 pts worse
|
Numerator 65 · Denominator 70 |
| Resident COVID-19 vaccinations up to date | 66.07% |
25.2%
40.9 pts better
|
Numerator 37 · Denominator 56 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.4 |
1.7
1.3 pts better
|
1.9
1.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.3 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.2 |
1.2
1 pts better
|
1.8
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.2 · Observed 0.2 · Expected 1.3 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.1% |
86.9%
10.2 pts better
|
93.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 97.1% · Q3 97.4% · Q4 97.0% · 4Q avg 97.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.2% |
93.5%
3.7 pts better
|
95.5%
1.7 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.2%
3.2 pts better
|
3.3%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
6.5%
6.5 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 5.0% |
6.5%
1.5 pts better
|
5.4%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 3.4% · Q3 5.9% · Q4 3.3% · 4Q avg 5.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.5% |
19.9%
9.4 pts better
|
19.6%
9.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 10.0% · Q3 8.8% · Q4 12.9% · 4Q avg 10.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.7% |
18.7%
7 pts better
|
16.7%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 8.0% · Q3 10.7% · Q4 18.5% · 4Q avg 11.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 21.3% |
19.6%
1.7 pts worse
|
16.3%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.0% |
18.3%
9.7 pts worse
|
14.9%
13.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 27.3% · Q3 29.2% · Q4 28.0% · 4Q avg 28.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.0% |
1.7%
1.3 pts worse
|
1.7%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 0.0% · Q3 5.3% · Q4 3.1% · 4Q avg 3.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.0% |
26.4%
7.4 pts better
|
19.8%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 16.1% · Q2 28.5% · Q3 17.2% · Q4 14.4% · 4Q avg 19.0% |
| Percentage of long-stay residents with pressure ulcers | 0.9% |
5.3%
4.4 pts better
|
5.1%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 1.6% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.8% |
68.9%
22.9 pts better
|
81.7%
10.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 87.1% · Q2 93.7% · Q3 94.7% · Q4 91.7% · 4Q avg 91.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 4.5% |
9.8%
5.3 pts better
|
12.0%
7.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 4.5% · Observed 4.0% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.8% |
1.5%
0.3 pts worse
|
1.6%
0.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 3.6% · Q3 2.0% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.7% |
68.7%
27 pts better
|
79.7%
16 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 15.7% |
23.1%
7.4 pts better
|
23.9%
8.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 15.7% · Observed 12.9% · Expected 19.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-08 · Fire 2023-10-12
1 health deficiencies
Top issue: Quality of Life and Care (1 deficiency)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2023-10-12 · Fire 2022-10-20
2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2023-10-12
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-26
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-09-18
F636 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2025-10-27
D · Potential for more than minimal harm
2025-09-18
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-10-27
D · Potential for more than minimal harm
2024-08-08
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-09-03
E · Potential for more than minimal harm
2023-10-12
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-11-27
E · Potential for more than minimal harm
2023-10-12
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-11-27
Penalties and ownership
What sits behind the stars
Ownership
Aldeni, Ma
Corporate Officer · Individual
Arora, Pawan
Contracted Managing Employee · Individual
Assi, Angeline
Corporate Officer · Individual
Barley, Steven
Corporate Director · Individual
Bittner, Marion
Corporate Director · Individual
Bittner, Marion
W-2 Managing Employee · Individual
Curcio, Margaret
Corporate Officer · Individual
Daughters Of Our Lady Of Mercy
5% Or Greater Direct Ownership Interest · Organization
Mauri, Grace
Corporate Officer · Individual
Reihart, Marcia
Corporate Director · Individual
Shorb, George
Corporate Director · Individual
Tate, Timothy
Corporate Director · Individual
Toerper, Delaine
Corporate Director · Individual
Nearby options
Other facilities in reach
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Kingston Court Skilled Nursing And Rehabilitation
York, PA
2-star overall rating with 2-star inspections with $59,314 in total fines with 7 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
#2
Pleasant Acres Rehabilitation And Nursing Center
York, PA
1-star overall rating with 1-star inspections with abuse icon flag with $198,550 in total fines with 13 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
York South Skilled Nursing And Rehabilitation Ctr
York, PA
1-star overall rating with 1-star inspections with $31,186 in total fines with 14 recent health deficiencies
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